Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 121 Main St, Melrose, New Mexico |
Authorized Official Name and Position | Lorence Leaming (CEO) |
Authorized Official Contact | 5853563411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 233 Melrose NM 88124-0233 Ph: (575) 253-4373 | 121 Main St Melrose NM 88124-9680 Ph: (575) 253-4373 |
NPI Number | 1154770618 |
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Provider Enumeration Date | 06/06/2016 |
Last Update Date | 06/06/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154770618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 3370 (New Mexico) | Primary |